158
FROM :SAMY
FAX NO. :2274291
Jul. 29 2010 12:52PM P1
FOIL Sere #:
Chris Masterson 0
Christine Fulton )J.
Sue Rose 0
rrL/afJ..I &.
J5~
. 2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
CI~....f....._.\;",
." 'c \:.. ". I
,>0" ..~"r-,.,'-'.,
!.~.~~<;".\
'~fAi' '-"~'
10 .~'
I.... ' \
\o.~ .~...i)o'\
~~.}~'
.~ ~.:." ~~.1
. (''Y~--=_':':'-:~~
,~~~-~~~.
FOR INTERNAL USE ONLY
Received by:
Date Received:
DEPARTMENT:
ASSESSOR 0
ACCOUNTING 0
CODE ENFORCEMENT ~
PLANNING 'ff
-~---- ZONINO------ '\Y'.
W: INSPECTOR 'g:)
ffiGHWAY 0
RECEIVER OF TAXES 0
RECREATION 0
SUPERVISOR . Y
TOWN CLERK "0' -
W A TERlSEWER ~
DOG CONTROL OFFICER ~ /
TOWN ENGINEER '!;1
TOWN ATTORNEY 0
FOR DEPARTMENT USE ONLY
Date Received by Dept
De artment Head approval:
1 1
----~---
(init)
. Date Applicant Contacted:
I I
Date FOIL fulfilled~r~ni~: _I ....;,11..
Jl) ..9A * (i)cf:-;J;{ rn
Closed by: ..
Date: ?- 1/6 1 I ()
Notes:
Amount Due:
Pages for a total of $
Name:
Address:
o check here if you are
requesting that the records
\~3 be mailed to this address.
) -
FORMAT OF RECORD (if available)
o
o
I request to be notified when I can come to inspect the record(s) described above
I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back of this application
I request that the records be sent via e-mail to the address listed above
I request that the records be faxed to the number listed above
~
o